HomeMy WebLinkAboutPlumbing Permit 11-0679 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 2/17/a_
ADDRESS 2852
OWNER CONTR. '] Q
PHONE NO. PERMIT NO. f / -- &I /
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL GASLI E R ST
❑ SITE INSPECTION ❑ MECH FINAL �C. AI �t T F!`
COMMENTS:
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W ORK SATISFACTORY, PROCEED
❑ RRECT TION AND PROCEED
❑ CORRE �� / K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: / Owner /Contr:
CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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pRr Date Recd
oi (----- t CITY OF PRIOR LAKE PLUMBING PERMIT '
s. 1. B B IeC Fi y PERMIT NO. ii. 4,79
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3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
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APPLICANT
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(Address) i 3 7 t t c) n v.) I( L- ' v , Dc(--1-on 1 I'M/ S 3 -7
(Address) (City) (Zip Code)
(Contact Person) pd-F t G am- (Phone) Cf? 1 )- 1 -10 0 Z
APPLICANT SIGNATURE DATE
. -7 1II/1
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixt Q uantity Type of Fixture
Bath Tub with or without shower Rough -ins
Dishwasher 1 Water Heater
Floor Drain Water Softener
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ej ector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi- family 1% of job cost with a $49.50 minimum Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
The Minnesota Statutes § 32613.148 - Est $ Building Permit #
"SURCHARGE" has been changed for one ` S 0
year effective PLUMBING PERMIT FEE $ L L
July 1, 2010, until June 30, 2011. STATE SURCHARGE $ 6
The minimum surcharge fora "fixed fee" permit TOTAL PERMIT FEE $ 'S 4, S
ism, beginning July 1, 2010
This Application Becomes Your Building Permit When Approved Paid 5- 5 - 0 Rece' No. / 3* j
Date 2,4 1/ By
Building Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372